Oral and maxillofacial surgery clinics of North America: Orthognathic surgery

1992 ◽  
Vol 101 (2) ◽  
pp. 196
Keyword(s):  
North America ◽  
Orthognathic Surgery ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery

scholarly journals Orthognathic Surgery in a Patient with Multiple Sclerosis

2015 ◽  
Vol 16 (6) ◽  
pp. 507-511
Author(s):  
Saleh A Al-Bazie
Keyword(s):  
Multiple Sclerosis ◽  
Surgical Procedures ◽  
Orthognathic Surgery ◽  
Dental Treatment ◽  
Maxillofacial Surgery ◽  
Neurological Dysfunction ◽  
Oral And Maxillofacial Surgery ◽  
Inflammatory Disorder ◽  
Prophylactic Regimen ◽  
Acute Exacerbations

ABSTRACT Aim The aim of this paper was to report a case of orthognathic surgery successfully done in a patient with multiple sclerosis. Background Multiple sclerosis (MS) is a chronic, progressive inflammatory disorder of the central nervous system affecting young adults, characterized by lymphocytic infiltration of the brain and spinal cord leading to demyelination and focal axonal damage. Clinically, MS patients present with reversible neurological dysfunction in the early stages, which progresses to irreversible neurological disability and deficit. Oral manifestations of MS include facial numbness or pain, neuralgias, facial paralysis, dysarthria and dysphagia. While dental treatment is not contraindicated in MS patients, it is, however, limited to preventive and supportive dental care. Case description A 23-year-old Saudi male patient with a diagnosis of MS since 2008 reported to the oral and maxillofacial surgery (OMFS) department for correction of dentofacial deformity. The patient was under follow-up with the neurology department and was being treated with interferon beta-1a. Following consent from the neurologist and the patient, a Lefort 1 segmental osteotomy was done under general anesthesia. The patient was stable throughout the surgical procedure and during the postoperative period. The patient was discharged upon complete surgical recovery and no acute exacerbations of MS were reported during the perioperative period. Conclusion Based on our observations, orthognathic and maxillofacial surgical procedures can be safely carried out in patients with MS, provided a strict perioperative prophylactic regimen for stress reduction and prevention of acute attacks of MS is adhered to. Clinical significance Due to the stressful nature of dental treatment and oral and maxillofacial surgical procedures, acute exacerbations of MS are very much likely. Hence, it is imperative that dental and oral surgical practitioners are aware of the manifestations of MS and are able to manage such patients with suitable treatment modifications. How to cite this article Al-Bazie SA. Orthognathic Surgery in a Patient with Multiple Sclerosis. J Contemp Dent Pract 2015;16(6):507-511.

Maxillofacial surgery

2020 ◽  
pp. 487-525
Keyword(s):  
Head And Neck ◽  
Orthognathic Surgery ◽  
Life Support ◽  
Maxillofacial Surgery ◽  
Neck Surgery ◽  
Dental Students ◽  
Facial Trauma ◽  
Advanced Trauma Life Support ◽  
Oral And Maxillofacial Surgery ◽  
Post Graduate

Oral and maxillofacial surgery is largely a post-graduate subject. This chapter begins with a section on advanced trauma life support and goes on to include details of the diagnosis and management of facial trauma, orthognathic surgery, as well as head and neck surgery and reconstruction. Only basic aspects of this specialty have been included here as advanced techniques are beyond the scope of this chapter. However, this chapter provides enough information so as to ensure success for final year dental students but it can also be of use to those working in oral and maxillofacial units.

scholarly journals Practice Patterns of Dentist Anesthesiologists in North America

2018 ◽  
Vol 65 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Andrew S. Young ◽  
Michael W. Fischer ◽  
Nicholas S. Lang ◽  
Matthew R. Cooke
Keyword(s):  
North America ◽  
Practice Patterns ◽  
Descriptive Analysis ◽  
Maxillofacial Surgery ◽  
Pediatric Dentistry ◽  
Geographic Region ◽  
Oral And Maxillofacial Surgery ◽  
Total Response Rate ◽  
Multiple Regions ◽  
American Society

This study provides trends in the discipline of dental anesthesiology. A questionnaire-based survey was sent to 338 members of the American Society of Dentist Anesthesiologists to evaluate practice patterns. One focus of the study was modality of sedation/anesthesia used for dentistry in North America. Age, gender, years in practice, and geographic region of practice were also obtained. Data gathered from the returned questionnaires were entered into an Excel spreadsheet and then imported into JMP Statistical Discovery Software (v12.2 Pro) for descriptive analysis. A total of 112 surveys were completed electronically and 102 surveys were returned via post, for a total response rate of 63.3% (N = 214). Data from this survey suggested a wide variation of therapeutic practices among dentist anesthesiologists in North America. Of the surveyed dentist anesthesiologists, 58.7% (SE = 4.2%) practice as mobile providers, 32.2% (SE = 3.1%) provide care in an academic environment, and 27.7% (SE = 2.8%) function as operator/anesthetists. The majority of anesthesia is provided for pediatric dentistry (47.0%, SE = 4.2%), oral and maxillofacial surgery (18.5%, SE = 3.9%), and special needs (16.7%, SE = 3.6%). Open-airway (58.7%, SE = 5.5%) sedation/anesthesia was the preferred modality of delivery, compared with the use of advanced airway (41.3%, SE = 4.6%). The demographics show diverse practice patterns of dentist anesthesiologists in multiple regions of the continent. Despite concerns regarding specialty recognition, reimbursement difficulties, and competition from alternative anesthesia providers, the overall perceptions of dentist anesthesiologists and the future of the field seem largely favorable.

scholarly journals Anesthetic Complication during Maxillofacial Trauma Surgery: A Case Report of Intraoperative Tension Pneumothorax

2016 ◽  
Vol 9 (3) ◽  
pp. 251-254
Author(s):  
AlHaitham Al Shetawi ◽  
Leonard Golden ◽  
Michael Turner
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Maxillofacial Surgery ◽  
Trauma Surgery ◽  
Tension Pneumothorax ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Circulatory Collapse ◽  
Life Threatening ◽  
Chest Decompression

Tension pneumothorax is a life-threatening emergency that requires a high index of suspension and immediate intervention to prevent circulatory collapse and death. Only five cases of pneumothorax were described in the Oral and Maxillofacial Surgery literature. All cases were postoperative complications associated with orthognathic surgery. We report a case of intraoperative tension pneumothorax during a routine facial trauma surgery requiring emergency chest decompression. The possible causes, classification, and reported cases will be presented.

scholarly journals Mandibular Reconstruction with Lateral Tibial Bone Graft: An Excellent Option for Oral and Maxillofacial Surgery

2017 ◽  
Vol 10 (4) ◽  
pp. 292-298 ◽  
Author(s):  
Ana Lucia Carpi Miceli ◽  
Livia Costa Pereira ◽  
Thiago da Silva Torres ◽  
MônicaDiuana Calasans-Maia ◽  
Rafael Seabra Louro
Keyword(s):  
Bone Graft ◽  
Orthognathic Surgery ◽  
Proximal Tibia ◽  
Donor Site ◽  
Maxillofacial Surgery ◽  
Lateral Approach ◽  
Autogenous Bone ◽  
Oral And Maxillofacial Surgery ◽  
Superficial Infection ◽  
Tibial Bone

Autogenous bone grafts are the gold standard for reconstruction of atrophic jaws, pseudoarthroses, alveolar clefts, orthognathic surgery, mandibular discontinuity, and augmentation of sinus maxillary. Bone graft can be harvested from iliac bone, calvarium, tibial bone, rib, and intraoral bone. Proximal tibia is a common donor site with few reported problems compared with other sites. The aim of this study was to evaluate the use of proximal tibia as a donor area for maxillofacial reconstructions, focusing on quantifying the volume of cancellous graft harvested by a lateral approach and to assess the complications of this technique. In a retrospective study, we collected data from 31 patients, 18 women and 13 men (mean age: 36 years, range: 19–64), who were referred to the Department of Oral and Maxillofacial Surgery at the Servidores do Estado Federal Hospital. Patients were treated for sequelae of orthognathic surgery, jaw fracture, nonunion, malunion, pathology, and augmentation of bone volume to oral implant. The technique of choice was lateral access of proximal tibia metaphysis for graft removal from Gerdy tubercle under general anesthesia. The mean volume of bone harvested was 13.0 ± 3.7 mL (ranged: 8–23 mL). Only five patients (16%) had minor complications, which included superficial infection, pain, suture dehiscence, and unwanted scar. However, none of these complications decreases the result and resolved completely. We conclude that proximal tibia metaphysis for harvesting cancellous bone graft provides sufficient volume for procedures in oral and maxillofacial surgery with minimal postoperative morbidity.

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